By submitting this payment you are authorizing SQUARE to process the payment to Aya's Travel Agency, LLC for the purposes of making a deposit, partial/full payment on a future vacation or for obtaining travel consultation services. is an approved travel agency authorized to conduct business with all travel suppliers including, but not limited to airlines, car rental agencies, hotels, cruise lines, tour operators, and travel insurance companies. You should complete this form if you are using your credit card to purchase travel services for yourself or other individuals known to you. Please fully complete and return this form to your travel agent using the instructions provided below. The purpose of this Credit Card Authorization Form is to comply with credit card acceptance rules with travel suppliers and to protect you from the cardholder and your travel agent from credit card fraud.
I authorize Aya’s Travel Agency, LLC, to charge the above listed travel services for the above listed person(s) to my credit/debit card provided herein. I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement.